Healthcare Provider Details

I. General information

NPI: 1114393154
Provider Name (Legal Business Name): DANA LOGWOOD NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2015
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8405 LAKEVIEW PKWY STE 202
ROWLETT TX
75088-4559
US

IV. Provider business mailing address

8405 LAKEVIEW PKWY STE 202
ROWLETT TX
75088-4559
US

V. Phone/Fax

Practice location:
  • Phone: 972-215-7765
  • Fax:
Mailing address:
  • Phone: 972-215-7765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP128701
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: